go back

Idaho rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.80 / $8.80 / $8.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $67.97 / $99.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $84.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $155.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $89.41 / $134.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $107.64 / $113.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $83.62 / $99.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.21 / $110.65 / $165.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $82.72 / $118.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.27 / $56.53 / $87.80